Provider Demographics
NPI:1477988194
Name:OPTIMUM HEALTH SOLUTIONS, INC.
Entity Type:Organization
Organization Name:OPTIMUM HEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:PERDOMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-971-7266
Mailing Address - Street 1:14707 S DIXIE HWY
Mailing Address - Street 2:STE 103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7948
Mailing Address - Country:US
Mailing Address - Phone:305-971-7266
Mailing Address - Fax:
Practice Address - Street 1:14707 S DIXIE HWY
Practice Address - Street 2:STE 103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7948
Practice Address - Country:US
Practice Address - Phone:305-971-7266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME14712261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service